Health Care Improvements in the Community Chapter 19 Review Questions with complete Solutions
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Course
Healthcare Improvement
Institution
Healthcare Improvement
Health Care Improvements in the Community Chapter 19 Review Questions with complete Solutions
1. Which of the following best describes one of the main problems in ensuring quality for health care in the United States?
A. Consumers believe American health care is high-quality and the best in the...
Health Care Improvements in the Community Chapter 19 Review Questions with complete Solutions
1. Which of the following best describes one of the main problems in ensuring quality for health care in
the United States?
A. Consumers believe American health care is high-quality and the best in the world.
B. Every hospital and health care agency has its own approach to data collection and documentation.
C. Finances are the basis of clinical decisions, not quality of care.
D. We all agree on what quality is but not on how best to measure it. - Answers ANS: B Every hospital
and health care agency has its own approach to data collection and documentation.
Very little is known about quality of care in this country because a variety of definitions of quality are
used and it is difficult to get comparable data from health care providers and agencies. Based on
international comparisons, health care in the United States does not have the best statistics related to
outcomes.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 289
2. A wealthy factory owner says, "I don't care about the poor. I just want the best care available for me
and my family. Why should I care whether other people get health care or not?" Which of the following
would be the most appropriate response by the nurse?
A. "If your employees are ill, who will do the work in your factory?"
B. "You might catch a contagious disease from one of your employees."
C. "You have a moral obligation to help those less fortunate."
D. "Your personal insurance and tax costs will go up if your employees have to use community resources
when they're ill." - Answers ANS: D "Your personal insurance and tax costs will go up if your employees
have to use community resources when they're ill."
Because the speaker's primary concern is apparently money, an appropriate response must show that
the factory owner will lose money if he doesn't support the health of others in the community.
DIF: Cognitive Level: Apply (Application) REF: p. 289
, 3. Which of the following information can be gathered by reviewing a community health report card?
A. Utilization of health care services in the community
B. Demographic information of the community
C. Leading causes of morbidity in a community
D. Frequency of malpractice claims within a community - Answers ANS: C Leading causes of morbidity in
a community
The term community health report card refers to different types of reports, community health profiles,
needs assessments, scorecards, quality of life indicators, health status reports, and progress reports.
Community health report cards can be a useful tool in efforts to help identify areas where change is
needed, to set priorities for action, and to track changes in population health over time. The report card
may be used to track leading causes of morbidity and mortality in a community, looking at trends over
time to see if public health interventions have improved health care outcomes.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 289
4. Which of the following led to the development of the National Health Quality Improvement Act?
A. A very famous movie and television star died as the result of a medical error.
B. The number of malpractice claims had increased.
C. Media such as films highlighted the reality of current medical care.
D. Publicity about a few unfortunate cases caused consumers to become concerned. - Answers ANS: B
The number of malpractice claims had increased.
In response to a growing number of malpractice claims in the United States, the National Health Quality
Improvement Act of 1986 was established, which encouraged consumers to become informed about
their practitioner's practice record and created a national clearinghouse of information on provider
malpractice records.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 290
5. Which of the following describes the principal problem with early efforts at ensuring quality of care?
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